不同方式治疗阑尾周围脓肿的临床效果观察

Clinical observation of different treatment methods for periappendiceal abscess

目的对比观察保守治疗、开腹阑尾切除术、腹腔镜阑尾切除术治疗阑尾周围脓肿的临床效果。方法回顾性分析笔者医院2015年10月—2021年10月收治的123例阑尾周围脓肿患者的临床资料,根据治疗方式的不同,分为保守治疗组37例,开腹阑尾切除组(开腹组)40例和腹腔镜阑尾切除组(腹腔镜组)46例。分析各组患者的临床治疗效果;对比开腹组及腹腔镜组的手术时间、术后排气、住院时间及术后并发症等。结果手术治疗阑尾周围脓肿治愈率100%,较保守治疗83.8%高,差异有统计学意义(P<0.05);与开腹组相比,腹腔镜组术后患者术后排气早、住院时间短且术后并发症少,差异有统计学意义(P<0.05)。结论手术是治疗阑尾周围脓肿的有效方式,而腹腔镜手术具有创伤小,恢复快等优势,临床效果显著。

Objective To compare the clinical results of conservative treatment with open and laparoscopic appendectomies on peri-appendiceal abscess in clinic.Methods A total of 123 patients diagnosed with peri-appendiceal abscess from Oct 2015 to Oct 2021 were retrospectively analyzed.According to the different therapies,all patients were effectively divided into 3 groups,including conservative treatment(n=37),open appendectomy(n=40)and laparoscopic appendectomy(n=46).Results Compared with the conservative treatment group,patients with surgical treatments(open&laparoscopic)presented a significant higher cure rate.Moreover,patients with laparoscopic appendectomy showed the earlier exhaust,shorter hospital time and fewer postoperative complications.Conclusion Appendectomy is an effective method in the treatment of peri-appendiceal abscess,especially the laparoscopic surgery with several advantages of less trauma and quick recovery.